|
Knowledge and awareness of rights
|
1–5
|
38
|
A healthcare provider can refuse to provide me family planning services because of who I am.
|
|
39
|
The government ensures that family planning services are free of cost (Tanzania) or The government ensures that family planning methods are free of cost (Ghana)
|
|
40
|
I have the right to privacy during my family planning visit.a
|
|
41
|
The healthcare provider should not share my information with other people.
|
|
42
|
If I am unhappy with the care I received, I know there are ways to make a complaint.a
|
|
43
|
Healthcare providers must answer all my health-related questions.a
|
|
44
|
Healthcare providers should inform me about the different family planning optionsa
|
|
45
|
I can refuse any family planning method offered if I do not want to use it.a
|
|
Women’s participation in household decision- making
|
1–6
|
46
|
First, would you tell me which member of your household usually makes decisions about your health care? a
|
|
47
|
Which member of your household usually makes decisions about making large household purchases? a
|
|
48
|
Which member of your household usually makes decisions about making household purchases for daily needs?a
|
|
49
|
Which member of your household usually makes decisions about when you will visit family/relatives/friends?a
|
|
50
|
Which member of your household usually makes decisions about when your whole household will visit family/relatives/friends?a
|
|
51
|
Which member of your household usually makes decisions about how to use the money that you bring into the household?a
|
|
52
|
Which member of your household usually makes decisions about how to use the money your husband/partner brings into the household?a
|
|
53
|
Which member of your household usually makes decisions about whether you or you and your husband/partner use family planning?a
|
|
54
|
Which member of your household usually makes decisions about where you will receive family planning?a
|
|
55
|
Which member of your household usually makes decisions about if you will be tested for the AIDS virus? a
|
|
56
|
Which member of your household usually makes decisions about how many children you will have? a
|
|
Self-efficacy with health care providers A
|
1–2
|
57
|
After your consultation with the health care provider today, do you know what your reproductive and family planning options are? a
|
|
58
|
After your consultation with the health care provider today, do you feel that you can act on your choice for family planning? a
|
|
59
|
Do you know what help you need to make a decision? a
|
|
Self-efficacy with health care providers B
|
1–5
|
65
|
I felt like I could discuss my problems, question and concerns with the health care provider without feeling embarrassed.
|
|
66
|
One of the providers or staff refused to offer me the service I wanted to receive. (reverse-coded)a
|
|
67
|
The provider ignored my request or my preferences today.a
|
|
68
|
I felt like the provider did not listen to what I was saying (reverse-coded)a
|
|
69
|
A provider strongly encouraged me to use one family planning that was different to the one I wanted (reverse-coded)a
|
|
70
|
I have the right to choose my family planning method.
|
|
Self-efficacy for participation at community meetings
|
1–5
|
71
|
How sure are you that you could attend a community meeting if your family did not support you to participate?a
|
|
72
|
How sure are you that you could attend a community meeting if your family said you could not go? a
|
|
73
|
How sure are you that you could attend a community meeting if your family would not help with your household duties so that you could attend? a
|
|
74
|
How sure are you that you could express your opinion at a community meeting? a
|
|
75
|
How sure are you that you could express your opinion at a community meeting if a few people did not agree with what you were saying? a
|
|
76
|
How sure are you that you could express your opinion at a community meeting if many people did not agree with what you were saying? a
|
|
Perception of service quality
|
1–5
|
77
|
The staff at this health facility have high quality family planning services a
|
|
78
|
The staff at this health facility ensures privacy and confidentiality when providing services. a
|
|
79
|
The health facility is clean. a
|
|
80
|
At this health facility, if women choose, they can bring their husband/partner for the family planning consultation. a
|
|
81
|
At this health facility, if women choose, they can bring a family member or friend for the family planning consultation. a
|
|
82
|
Unmarried women can access family planning and reproductive health service at the health facility.
|
|
Political capabilities
|
1–5
|
83
|
Today, if I went to the clinic, I believe I could get family planning I wanted without facing any barriers of cost, age and marital status.
|
|
84
|
Anyone outside of the clinic, like friends or community members, can help you access your right to quality family planning services.
|
|
85
|
Health providers and district government officials can directly influence the quality of your local family planning services? a
|
|
86
|
Challenging people of influence is the best way to change family planning services in the clinic. a
|
|
87
|
Collaboration with people of influence is the best way to change family planning services in the clinic. a
|
|
Collective efficacy
|
1–5
|
88
|
How sure are you that the people in your community could work together to improve family planning services in this community? a
|
|
89
|
How sure are you that the people in your community could work together to improve how women are treated at the health facility? a
|
|
90
|
How sure are you that the people in your community could work together to obtain government services and entitlements? a
|
|
91
|
How sure are you that the people in your community could work together to improve the health and well- being of women in this community? a
|
|
Community support in time of crisis
|
1–5
|
92
|
How sure are you that there is someone in your community, apart from your immediate family, who you could go to for advice? a
|
|
93
|
How sure are you that there is someone in your community, apart from your immediate family, who could take you to the clinic? a
|
|
94
|
How sure are you that there is someone in your community, apart from your immediate family, who would help care for your children or household while you are away? a
|
|
95
|
How sure are you that there is someone in your community, apart from your immediate family, who would loan you money for transport? a
|
|
Mutual responsibility for and support of services
|
1–5
|
99
|
Who could have the most impact on making sure that women are treated with respect by health workers? a
|
|
100
|
Who could have the most impact on making sure that women have transportation to the hospital for permanent methods of contraception? a
|
|
101
|
Who could have the most impact on increasing the number of days a health worker visits your community? a
|
|
102
|
Who could have the most impact on making sure the poorest and most vulnerable women in the community receive care? a
|
|
103
|
Who could have the most impact on getting funding to improve health services in this community? a
|
